Evidence map›Paper›PMID 27044414›Full record

ArticleBMC medicine2016

Pubertal development and prostate cancer risk: Mendelian randomization study in a population-based cohort.

Carolina Bonilla, Sarah J Lewis, Richard M Martin, Jenny L Donovan, Freddie C Hamdy, David E Neal, Rosalind Eeles, Doug Easton, Zsofia Kote-Jarai, Ali Amin Al Olama and 27 more

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors at 20 institutions in 12 countries.

Carolina BonillaSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Sarah J LewisSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Richard M MartinSchool of Social and Community Medicine, University of Bristol, Bristol, UK. richard.martin@bristol.ac.uk.
Jenny L DonovanSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Freddie C HamdyNuffield Department of Surgery, University of Oxford, Oxford, UK.
David E NealNuffield Department of Surgery, University of Oxford, Oxford, UK.
Rosalind EelesThe Institute of Cancer Research, 15 Cotswold Road, Sutton, SM2 5NG Surrey, UK.
Doug EastonCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts Causeway, Cambridge, UK.
Zsofia Kote-JaraiThe Institute of Cancer Research, 15 Cotswold Road, Sutton, SM2 5NG Surrey, UK.
Ali Amin Al OlamaCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts Causeway, Cambridge, UK.
Sara BenllochCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts Causeway, Cambridge, UK.
Kenneth MuirUniversity of Warwick, Coventry, UK.
Graham G GilesThe Cancer Council Victoria, 615 St. Kilda Road, Melbourne, Victoria, 3004, Australia.
Fredrik WiklundDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Henrik GronbergDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Christopher A HaimanDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California/Norris Comprehensive Cancer Center, Los Angeles, CA, USA.
Johanna SchleutkerDepartment of Medical Biochemistry and Genetics, University of Turku, Turku, Finland.
Børge G NordestgaardDepartment of Clinical Biochemistry, Herlev Hospital, Copenhagen University Hospital, Herlev Ringvej 75, Herlev, DK-2730, Denmark.
Ruth C TravisCancer Epidemiology Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK.
Nora PashayanCentre for Cancer Genetic Epidemiology, Department of Oncology, University of Cambridge, Strangeways Research Laboratory, Worts Causeway, Cambridge, UK.
Kay-Tee KhawCambridge Institute of Public Health, University of Cambridge, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK.
Janet L StanfordDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
William J BlotInternational Epidemiology Institute, 1455 Research Blvd., Suite 550, Rockville, MD, 20850, USA.
Stephen ThibodeauMayo Clinic, Rochester, MN, USA.
Christiane MaierDepartment of Urology, University Hospital Ulm, Ulm, Germany.
Adam S KibelBrigham and Women's Hospital/Dana-Farber Cancer Institute, 45 Francis Street - ASB II-3, Boston, MA, 02115, USA.
Cezary CybulskiInternational Hereditary Cancer Center, Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
Lisa Cannon-AlbrightDivision of Genetic Epidemiology, Department of Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Hermann BrennerDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Jong ParkDivision of Cancer Prevention and Control, H. Lee Moffitt Cancer Center, 12902 Magnolia Dr., Tampa, FL, USA.
Radka KanevaMolecular Medicine Center and Department of Medical Chemistry and Biochemistry, Medical University-Sofia, 2 Zdrave St., Sofia, 1431, Bulgaria.
Jyotsna BatraAustralian Prostate Cancer Research Centre - Qld, Institute of Health and Biomedical Innovation and School of Biomedical Sciences, Queensland University of Technology, Brisbane, Australia.
Manuel R TeixeiraDepartment of Genetics, Portuguese Oncology Institute, Porto, Portugal.
Hardev PandhaThe University of Surrey, Guildford, Surrey, GU2 7XH, UK.
Mark LathropCommissariat à l'Energie Atomique, Center National de Génotypage, Evry, France.
George Davey SmithSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
PRACTICAL consortium
University of Cambridge · GBMRC Epidemiology Unit · GBUniversity of Bristol · GBUniversity of Oxford · GBInstitute of Cancer Research · GBKarolinska Institutet · SECancer Council Victoria · AUCopenhagen University Hospital · DKFimlab (Finland) · FIFred Hutch Cancer Center · USGerman Cancer Research Center · DEInstituto Português de Oncologia Francisco Gentil · PTInternational Epidemiology Institute · USMayo Clinic in Arizona · USMcGill University and Génome Québec Innovation Centre · CAMedical University of Sofia · BGMoffitt Cancer Center · USPomeranian Medical University · PLQueensland University of Technology · AUUniversity Hospital Ulm · DE

Funding

Southern Community Cohort StudyR01CA092447 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BLOT, WILLIAM J., ZHENG, WEI · 2001 to 2015
$74.0M
Epidemiologic StudiesU19CA148065 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI AHSAN, HABIBUL, BRUGGE, JOAN SIEFERT · 2010 to 2014
$10.6M
Epidemiological and Clinical Translational Studies Post Genome-Wide AssociationU19CA148537 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI EASTON, DOUGLAS FREDERICK, EELES, ROSALIND · 2010 to 2014
$10.4M
Ovarian cancer GWAS discovery, expansion and replication (N2 - Project #1)U19CA148112 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI SELLERS, THOMAS A · 2010 to 2014
$10.2M
A genome-wide association study for breast cancer in BRCA1 mutation carriersR01CA128978 · NCI · MAYO CLINIC ROCHESTER · PI COUCH, FERGUS JOSEPH · 2008 to 2012
$4.8M
Cancer Research UK 10124Cancer Research UK 13065Cancer Research UK 14136Cancer Research UK 15007Cancer Research UK 16491Cancer Research UK 16561Cancer Research UK 17528Cancer Research UK 19169Cancer Research UK 19170Cancer Research UK A19169Cancer Research UK C12292/A11174Cancer Research UK C1281/A12014Cancer Research UK C1287/A10118Cancer Research UK C1287/A 10710Cancer Research UK C18281/A19169Cancer Research UK C5047/A10692Cancer Research UK C5047/A15007Cancer Research UK C5047/A8384Cancer Research UK C8197/A16565Medical Research Council G0401527Medical Research Council G0500966Medical Research Council G0600705Medical Research Council MC_UU_12013/1Medical Research Council MC_UU_12013/19Medical Research Council MR/N003284/1NCI NIH HHS 1U19 CA148065NCI NIH HHS 1U19 CA148112NCI NIH HHS 1U19 CA148537NCI NIH HHS CA128978NCI NIH HHS R01 CA092447NCI NIH HHS R01 CA128978NCI NIH HHS U19 CA148065NCI NIH HHS U19 CA148112NCI NIH HHS U19 CA148537
6 · The paper itself

Abstract

backgroundEpidemiological studies have observed a positive association between an earlier age at sexual development and prostate cancer, but markers of sexual maturation in boys are imprecise and observational estimates are likely to suffer from a degree of uncontrolled confounding. To obtain causal estimates, we examined the role of pubertal development in prostate cancer using genetic polymorphisms associated with Tanner stage in adolescent boys in a Mendelian randomization (MR) approach.

methodsWe derived a weighted genetic risk score for pubertal development, combining 13 SNPs associated with male Tanner stage. A higher score indicated a later puberty onset. We examined the association of this score with prostate cancer risk, stage and grade in the UK-based ProtecT case-control study (n = 2,927), and used the PRACTICAL consortium (n = 43,737) as a replication sample.

resultsIn ProtecT, the puberty genetic score was inversely associated with prostate cancer grade (odds ratio (OR) of high- vs. low-grade cancer, per tertile of the score: 0.76; 95 % CI, 0.64-0.89). In an instrumental variable estimation of the causal OR, later physical development in adolescence (equivalent to a difference of one Tanner stage between pubertal boys of the same age) was associated with a 77 % (95 % CI, 43-91 %) reduced odds of high Gleason prostate cancer. In PRACTICAL, the puberty genetic score was associated with prostate cancer stage (OR of advanced vs. localized cancer, per tertile: 0.95; 95 % CI, 0.91-1.00) and prostate cancer-specific mortality (hazard ratio amongst cases, per tertile: 0.94; 95 % CI, 0.90-0.98), but not with disease grade.

conclusionsOlder age at sexual maturation is causally linked to a reduced risk of later prostate cancer, especially aggressive disease.

Indexed as

Prostatic NeoplasmsAdolescentAgedAge of OnsetCase-Control StudiesGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisMiddle AgedNeoplasm StagingOdds RatioPolymorphism, Single NucleotidePubertyRandom AllocationRegression AnalysisBoysMendelian randomizationProstate cancerPubertyTanner scale

Identifiers

PMID27044414
PMCPMC4820939
OpenAlexW2341519992

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.